Qi X Q
Cardiovascular Institute, CAMS, Beijing.
Zhonghua Xin Xue Guan Bing Za Zhi. 1992 Aug;20(4):220-2, 259-60.
Transcoronary chemical ablation of ventricular tachycardia was performed in 2 patients with refractory ventricular tachycardia in Fu Wai Hospital. The procedures were successful. 1.5 ml sterilized ethanol (95%) was given to 1 patient and 0.8 ml to the other. The 2 patients were cured and no arrhythmia was found during 32-months and 4-months follow-up period respectively. One patient developed a limited inferior wall myocardial infarction after 1.5 ml ethanol. No other complications were observed. We found that after careful transcoronary mapping with saline and antiarrhythmic drugs, chemical ablation could prevent further episodes of the arrhythmia in selected high risk patients.
在阜外医院，对2例难治性室性心动过速患者进行了经冠状动脉化学消融术。手术成功。1例患者注射了1.5毫升灭菌乙醇（95%），另1例注射了0.8毫升。2例患者均治愈，分别在32个月和4个月的随访期内未发现心律失常。1例患者在注射1.5毫升乙醇后发生了局限性下壁心肌梗死。未观察到其他并发症。我们发现，在使用生理盐水和抗心律失常药物进行仔细的经冠状动脉标测后，化学消融可预防部分高危患者心律失常的进一步发作。
